| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $40.04 | $293.18 | $293.18 | |
Cigna
| Facility | $54.54 | $96.53 | $96.53 | |
Cigna
| Professional | $54.54 | $78.50 | $96.53 | |
Providence
| Facility | $42.49 | $91.93 | $96.53 | |
Providence
| Professional | $54.54 | $72.45 | $96.60 | |
United
| Professional | $34.36 | $38.02 | $58.18 |